Bassetlaw Shadow Integrated Care System Collaborative Partnership Board Minutes of the meeting of 13 April 2018 The Boardroom, NHS Sheffield CCG 722 Prince of Wales Road, Sheffield, S9 4EU Decision Summary Minute Item reference 29/18 Matters arising Action Communication and Engagement: Draft Communication Plan for ICS Launch The Chair added that April/May/June would allow time to convene events within each place and then the ICS launch could take place in July. Helen Stevens added that a localised plan would be worked up for each place in South Yorkshire and Bassetlaw. Helen Stevens 30/18 National Update CEO ACS Report Capital Bids to NHS England first stage After discussion the Chair highlighted that a process should be designed to ensure that everyone has input into signing off the capital bids. The Chair requested Chris Edwards to identify one member from each organisation to design a process for the refinement of the capital bids from now until 16 th July 2018. The process could be put to members and agreed at the timeout on Wednesday, 18 th April 2018. The Chair added that Chris Edwards, Jeremy Cook and himself will ensure that local authorities are involved in this process. Members acknowledged this is a huge task. 31/18 STP Refresh added that a draft of the STP refresh plan will be circulated to the Collaborative Partnership Board members for comment and will be presented at the CPB in June for sign off. C Edwards CE/JC/AJC 1
33/18 sics Highlight report A request was made for the team to clearly identify what resources are coming into the workstream and how they are apportioned. informed members that she will investigate the sign-off process of the workstream highlight reports as we need to ensure there is a robust process in place before reports are presented at this meeting. 2
Bassetlaw Shadow Integrated Care System Collaborative Partnership Board Minutes of the meeting of 13 April 2018 The Boardroom, NHS Sheffield CCG 722 Prince of Wales Road, Sheffield, S9 4EU Name Organisation Designation Present Apologies Deputy for Sir Andrew Cash CHAIR Adrian Berry South West Yorkshire Partnership NHS FT ACS Lead/Chair, Sheffield Teaching Hospitals NHS FT, CEO Deputy Adrian England Healthwatch Barnsley Chair Ainsley Macdonnell Alison Knowles Alan Davis Nottinghamshire County Council Locality Director North of England, South West Yorkshire Partnership NHS FT Service Director NHS England Director of Human Resources Andrew Hilton Sheffield GP Federation GP Ann Gibbs Anthony May Ben Jackson Catherine Burn Chris Edwards Chris Holt Chris Welsh Clare Morgan David Purdue Sheffield Teaching Hospitals NHS FT Nottinghamshire County Council Academic Unit of Primary Medical Care, Sheffield University Voluntary Action Representative NHS Rotherham Clinical Commissioning Group The Rotherham NHS FT Sheffield Teaching Hospitals NHS Foundation Trust Doncaster & Bassetlaw Teaching Hospitals NHS FT Director of Strategy Senior Clinical Teacher Director Accountable Officer Deputy & Director of Strategy and Transformation Independent Lead - Hospital Services Review Programme Director (s Office) Deputy Chief Executive/COO (pt) Des Breen SYB sics Medical Director Anthony May CEO Adrian Berry Louise Barnett Richard Parker Diana Terris Barnsley Metropolitan Borough Council 3
Greg Fell Sheffield City Council Director of Public Health Frances Cunning Helen Stevens Idris Griffiths Jackie Pederson James Scott Jane Anthony Janet Wheatley Jeremy Cook Yorkshire & the Humber PHE Centre NHS Bassetlaw Clinical Commissioning Group NHS Doncaster Clinical Commissioning Group Voluntary Action Rotherham Deputy Director Health & Wellbeing Associate Director of Communications & Engagement Accountable Officer Accountable Officer Senior Programme Manager Corporate Committee Administrator, Executive PA & Business Manager Interim Director of Finance John Mothersole CEO John Mothersole Sheffield City Council John Somers Jo Miller Sheffield Children s Hospital NHS Foundation Trust Doncaster Metropolitan Borough Council Julia Burrows Barnsley Council Director of Public Health Kathryn Singh Kevan Taylor Lesley Smith Louise Barnett Maddy Ruff Matthew Groom Matthew Sandford Mike Curtis Moira Dumma Rotherham, Doncaster and South Humber NHS FT Sheffield Health and Social Care NHS FT NHS Barnsley Clinical Commissioning Group Bassetlaw sics The Rotherham NHS Foundation Trust NHS Sheffield Clinical Commissioning Group NHS England Specialised Commissioning Yorkshire Ambulance Service NHS Trust Health Education England NHS England SYB ACS System Reform Lead, Chief Officer, NHS Barnsley CCG Director of Commissioning Reform Accountable Officer Assistant Director Associate Director of Planning & Development Local Director Director of Commissioning Operations Rod Barnes Neil Taylor Bassetlaw District Council 4
Paul Moffat Paul Smeeton Richard Henderson Richard Jenkins Richard Parker Richard Stubbs Rob Webster Rod Barnes Roger Watson Rupert Suckling Ruth Hawkins Sandra Crawford Sarah Halstead Sharon Kemp Simon Morritt Doncaster Children s Services Trust Nottinghamshire Healthcare NHS Foundation Trust East Midlands Ambulance Service NHS Trust Barnsley Hospital NHS Foundation Trust Doncaster and Bassetlaw Teaching Hospitals NHS FT The Yorkshire and Humber Academic Health Science Network South West Yorkshire Partnership NHS FT Yorkshire Ambulance Service NHS Trust East Midlands Ambulance Service NHS Trust Doncaster Metropolitan Borough Council Nottinghamshire Healthcare NHS FT Nottinghamshire Healthcare NHS FT NHS England Specialised Commissioning Rotherham Metropolitan Borough Council Chesterfield Royal Hospital NHS FT Director of Performance, Quality and Innovation Chief Operating Executive Acting Consultant Paramedic Operations Director of Public Health Associate Director of Transformation Local Partnerships Division Senior Service Specialist and RightCare Associate Steve Shore Healthwatch Doncaster Chair Teresa Roche Tim Moorhead Wendy Lowder Will Cleary-Gray Rotherham Metropolitan Borough Council NHS Sheffield Clinical Commissioning Group Rotherham Metropolitan Borough Council Director of Public Health Clinical Chair Executive Director of Communities Sustainability & Transformation Director Richard Henderson Paul Smeeton Matthew Groom Julia Burrows Minute reference Item Action 26/18 Welcome and introductions The Chair welcomed members to the meeting. 27/18 Apologies for absence The Chair noted the apologies for absence. 5
28/18 Minutes of the previous meeting held 9 th February 2018 29/18 Matters arising The minutes of the previous meeting were agreed as a true record and will be posted on the website after this meeting. www.healthandcaretogethersyb.co.uk Communication and Engagement: Draft Communication Plan for ICS Launch Helen Stevens recommended that the ICS Launch may take place before the recess of Parliament in June/July 2018. The revised launch date would allow links with other internal communications teams are in place and for conversations to be held in each Place. The Chair added that he is having dialogue with Councillors and updating them about SYB sics progress at regular intervals at Health & Wellbeing Board meetings he attends. Helen Stevens confirmed that she would prepare a standard set of slides that provides CPB members with a clear and consistent message to take to their Boards and Governing Bodies. The Chair added that April/May/June would allow time to convene events within each place and then the ICS launch could take place in July. Helen Stevens added that a localised plan would be worked up for each place in Bassetlaw. Helen Stevens Finance Update Jeremy Cook informed members that the paper was amended at 2.2 and 2.4. Hospital Services Review Update Annex A accompanying the Stage 1B was amended was requested. 30/18 National Update CEO ACS Report The Chair gave his Officers report to the meeting. This monthly report provides members with an update on: The work on the Shadow ICS CEO over the last month. A number of key priorities not covered elsewhere on the agenda. The report gave a concise update to members regarding the: Planning guidance. National ICS Leads meeting March 2018. 6
Visit to Manchester ICS. North of England ICS/STP leaders meeting. Hospital Services Review update. Capital bids to NHS England first stage. ICS governance. Visit by Professor Don Berwick. The Chair updated members with the following supplementary information: Planning Guidance The Chair reminded members that the planning guidance Refreshing NHS Plans 2018/19 was published on 2 February 2018 and the control totals were published shortly after on 8 March 2018. The Chair stated that signing up to any agreement must contain more advantages for the system and additionally SYB wants to be set up to succeed and make a movement towards performance improvement rather than a system of penalties. The Chair informed members that negotiations are continuing and highlighted that the final plan for SYB has to be completed by 30 th April 2018. Capital Bids to NHS England first stage The Chair highlighted that there is 1.6b available nationally for capital bids and all bids must be submitted by 16 th July 2018. SYB has submitted an indicative list of capital bids totaling 1b and this will have to be significantly scaled down. The bids will be refined and help SYB in achieving transformation and they are themed by: Transformation and reconfiguration of clinical services Primary Care Backlog maintenance After discussion the Chair highlighted that a process should be designed to ensure that everyone has input into signing off the capital bids. The Chair requested Chris Edwards to identify one member from each organisation to design a process for the refinement of the capital bids from now until 16 th July 2018. The process could be put to members and agreed at the timeout on Wednesday, 18 th April 2018. The Chair added that Chris Edwards, Jeremy Cook and himself will ensure that local authorities are involved in this process. Members acknowledged this is a huge task. C Edwards CE/JC/AJC sics Governance The Chair reported that discussions surrounding future governance will take place at the timeout planned for 18 th April 2018. 7
31/18 STP Refresh The Chair added that the sics needed a system of devolved autonomy. Within this devolved structure the sics could invite NHSE/I to work within the team. The Collaborative Partnership Board noted the update. The Chair welcomed and invited her to present her paper to this meeting. The paper provides an outline of the work underway to refresh the STP plan to reflect the changes in the SYB system since the original submission in 2016. The updated plan will build on the principles and priorities from the STP and will set out the strategy for the next phase of development as the ICS moves from shadow arrangements in 2018/19 to full ICS in 2019/20. informed members that SYB sics required a plan that sets out its strategy for the next 12 and 24 months, taking the organisation from shadow to a fully operational ICS. Alison Knowles was invited to comment regarding the Operational Delivery Plan. Alison Knowles said that SYB sics needs to produce an Operational Delivery Plan (ODP) for 2018/19 and this needs to be with NHSE/I by 30 th April 2018. The ODP is a simple aggregate from the submissions from STP providers and commissioners. Alison added that the ODP is a national requirement setting out the key deliverables, risks, issues and mitigating actions in order to deliver a balanced system from a finance, performance, and transformation and delivery perspective. added that a draft of the STP refresh plan will be circulated to the Collaborative Partnership Board members for comment and will be presented at the CPB in June for sign off. Once signed off the plan will be published. The Collaborative Partnership Board noted the approach and timescales to the STP refresh and progress so far. The Chair thanked and Alison Knowles for their update. The Chair requested each place to provide members with a brief verbal update regarding their ACP progress: Rotherham Chris Edwards The ACP board has been meeting for one year and started meeting in public in April 2018. The board is updating its place plan and a draft is due to go to the May meeting for approval. It is a place plan as opposed to a transformational programme document. The Board have prepared a Memorandum of Understanding and members have agreed in principle how they will work together, which is morally binding but not legally binding. 8
Bassetlaw Catherine Burn and Idris Griffiths The ACP board has been meeting for 6 months. The board is in its infancy but it is developing at pace. A Memorandum of Understanding will be presented at the next meeting. Members have developed good relationships and they are morally engaged with the ACP. A new Programme Director has been appointed and will be in post from 1 st May 2018. Sheffield Kevan Taylor The ACP board consists of cabinet members, chief executives and chairs and meetings are held in public. There are also private executive meetings held. A programme director has been appointed and has recently started in post. Sir Andrew Cash attends the executive board meetings and this gives a direct link and connection between place and ICS confirmed that she and Will Cleary-Gray are meeting with each of the ACPs to discuss system and place connections and they will provide feedback to members at the next CPB meeting. Doncaster Jackie Pederson The ACP is working on its governance arrangements, the cabinet and CCG are working on delegated arrangements. The ACP have 7 areas to test e.g. in areas of workforce, digital, joint commissioning functions and contracting. Barnsley Lesley Smith The ACP board is in year 3. The ACP is underpinned by a delivery board which meets in public as a joint commissioning unit with Barnsley Metropolitan Borough Council and a commissioning executive. The Alliance has contracts of 20m. A case for change is being prepared regarding integration and the development of a strategic outlined business case. This structure takes Barnsley into a procurement route over a 2 year process. The Chair thanked members for their updates. 32/18 Finance Update and System Control Totals Jeremy Cook, Interim Director of Finance SYB Shadow ICS, presented his finance report to the meeting. The report informs members on a number of items e.g. Directors of Finance meetings and other general updates, financial reporting, risks, control totals, and capital. The Interim Finance Director confirmed that the governance process agreed at the Executive Steering Group in November 2017 would be used in the bidding process. The Chair added that as negotiations regarding the control totals are ongoing and moving at pace with NHS England/Improvement a small group has been set up which will link back to 9
organisations. A discussion took place regarding this process. The Chair added that proposals must be beneficial to individual organisations and the proposals should be modelled by each organisation. The Chair added that this is the beginning of a cultural change, the NHS has its 70 th Anniversary approaching. Simon Stevens is a supporter of a long term position for ICSs. SYB is a demonstrator site and we must be prepared and ready for what emerges in 2020. The Collaborative Partnership Board noted the contents of the report. The Chair thanked Jeremy Cook for his report and for presenting information to this meeting. 33/18 sics Highlight report, Director of Commissioning Reform introduced the Workstream Highlight Report to the meeting. A request was made for the team to clearly identify what resources are coming into the workstream and how they are apportioned. informed members that she will investigate the sign-off process of the workstream highlight reports as we need to ensure there is a robust process in place before reports are presented at this meeting. The Collaborative Partnership Board noted the highlight reports. 34/18 SYB ACS response to Draft workforce strategy for England The Chair invited Mike Curtis, Local Director, Health Education England and Kevan Taylor,, Sheffield Health and Social Care NHS FT to update members regarding the SYB response to the draft Workforce Strategy for England. Mike Curtis hoped that the response captured members views regarding the draft and hopefully some of their views will be captured in the final strategy. Members discussed their disappointment with the lack of social care and links to social care contained within the draft. Mike Curtis responded by saying this aspect was a common view of the draft and the final strategy should contain a lot more regarding social care. The Chair added that the NHS Employers Board recognise their main priority is the workforce. The system needs to find a way of: 10
engaging with the Universities in Sheffield to attract people into the NHS getting into schools to attract 15/16 year olds into the NHS and this would make a real difference e.g. Health Training Centres A comment was made that one of the largest problems is retention of staff. Mike Curtis added that from information contained on the Electronic Staff Record (ESR) 50% of managers do not know why their staff are leaving. Members agreed that the sics need to know the workforce issues across the system and why staff are leaving so this problem can be addressed. A comment was made that the NHS should project a more positive image of working within the NHS as at present it is a very negative image that is projected. The Chair added that the 70 th Anniversary of the NHS could provide the sics with an opportunity. SYB sics could launch a work experience initiative in schools/colleges within the SYB area with the strapline that it has the best hospitals and it is the best place to work. The Chair thanked Mike Curtis and Kevan Taylor for their work regarding the draft Workforce Strategy for England. 35/18 NHS England Mandate This report was circulated to Collaborative Partnership Board members for their information. 36/18 NHS Improvement Mandate This report was circulated to Collaborative Partnership Board members for their information. 37/18 Report to National SPF 13 February 2018 Summary of STP/ICS visits 2017/18 This report was circulated to Collaborative Partnership Board members for their information. 38/18 To consider any other business The Chair welcomed Chris Welsh to the meeting. Hospital Services Review Update Chris Welsh, the Independent Lead - Hospital Services Review (HSR) informed members that the planned HSR publication date of 28 April 2018 has had to be changed due to purdah. The HSR team are now working to the publication date of 9 May 2018. The Chair thanked Chris Welsh for this information and his 11
attendance at this meeting. There was no other business brought before the meeting. 39/18 Date and Time of Next Meeting The next meeting will take place at 9.30am to 11.30am on 8 June 2018 in the Boardroom, 722 Prince of Wales Road, Sheffield, S9 4EU. 12